Individual provider · Type 1 NPI
Ellen Clarice Melton, PhD, LPC
Professional Counselor · Georgetown, TX
NPI number
1093080095
Active
Practice location
2004 Williams Dr
Georgetown, TX 78628-3240
Fax (512) 864-0232
Mailing address
112 Palmetto Dr
Georgetown, TX 78633-5355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 66017 (TX) |
Professional Counselor: Definition to come...
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About NPI 1093080095
Ellen Clarice Melton, PhD, LPC's National Provider Identifier is 1093080095, issued on Mar 9, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Georgetown, TX. The record was last updated on Mar 9, 2012.